A case of intracavernous sinus cavernous hemangioma is reported. The tumor was totally resected en masse. The management of the lesion and technical issues concerning the surgery are discussed.
Hydatid disease has been known since the time of Hippocrates. Hydatid disease is a worldwide parasitic infestation caused by Echinococcus Granulosus characterized by cystic lesions mostly in the liver and lungs with fewer in other parts of the body. Patient details were collected by patient’s IPD file. Complete detailed history, patient vitals, haemogram, ABO, with USG abdomen thorax and CECT chest and upper abdomen was done. Post operatively the outcome was followed by USG R/v and Chest X ray. Treatment diagnosis was giant viable hydatid cyst lung and liver. Right thoracotomy with 5th rib cutting incision was given. Cyst was visualized and managed along with repair of bronchopleural fistula. Hydatid liver was operated later after 3 weeks as elective Surgery. Post-operative period was uneventful with successful outcome. The case was managed successfully by surgical intervention. Surgery remains the choice of complete evacuation of hydatid cyst. Non-complicated hydatid cysts have a good prognosis regardless of their size. Regular follow-up is usually advised to prevent recurrence and spread.
Background: Patients admitted for cataract surgery have a fear of worst pain due to peribulbar injection for anaesthesia rather than surgery itself. The aim of this study is to find out the threshold of pain associated with the anaesthetic peribulbar injection for cataract surgery.Methods: This prospective randomised study was carried out at Ophthalmology department of Maharishi Markandeshwar University from 10 January 2017 to 22 March 2017. 100 patients undergoing elective cataract surgery were administered a peribulbar block. Before injection all patients were briefed about the procedure and counselled regarding the degree of pain that they may experience. Patients were asked to grade the pain of peribulbar anaesthetic injection, using a Visual Analogue Scale (VAS).Results: Focus of the study was on the degree of pain associated with anaesthetic peribulbar injection for cataract surgery. 100 patients (60 males and 40 females) were included in the study. 90 (90%) patients were having their first surgery, they were more apprehensive especially about the injection associated pain. 10 (10%) patients with history of previous cataract surgery were calm, confident and claimed that they felt no pain at all. 92 (92%) patients had just needle prick lead to heaviness or mild pain. Only small percentage of patients i.e. 8 (8%) had injection associated moderate to severe pain.Conclusions: The study revealed that the peribulbar anaesthesia for cataract surgery is safe and highly effective. The degree of pain associated with peribulbar injection is much less than what the patients actually have in their mind and fear of. The study also shows ‘pain threshold’ and anxiety level as major factors for pain perception.
Intussusception is defined as the pathology in which a segment of intestine telescopes into the adjoining intestinal lumen. Ileocolic accounts for 75% of all cases of intussusception. The average age of affected adults is between 50 and 60 years old and it occurs more often in women. The higher percentage of intussusception in adults (65%) occurs due to malignant or benign neoplasms. Appendix is part of intussusception of commonest ileocolic type but appendix as lead point for intussusception is rare. Patient details were collected by patient’s IPD file. Complete detailed history, patient vitals, hemogram, ABO, with X-ray Abd erect, USG abdomen and CECT abdomen was done. Post-OP patient was followed by USG review. 60-year-old female diagnosed and operated as for ileocolic intussusception with appendix as lead point. Ileo transverse anastomosis was performed with hemicolectomy involving the terminal ileum along with caecum and ascending colon. Post op patient did well passed stools on 5th day. Intussusception is a pathology in which a segment of intestine telescopes into the adjoining intestinal lumen causing intestinal obstruction. Intussusception are two types antegrade and retrograde. CT scan and colonoscopy, which provide an accurate diagnosis, allowed the best surgical choice in the hands of an experienced surgeon.
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